Mallory Fountain, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MALLORY FOUNTAIN, PLLC

Practice address

8778 Long Lake Dr E
Scotts, MI 49088-8719

Phone

(269) 370-9074

NPI assigned

Jan 16, 2026

Last updated

Jan 16, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mallory Fountain, LMSWNPI 1528618725

Title

Clinical Social Worker

Phone

(269) 370-9074

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mallory Fountain, LMSW

  • Social Worker
  • Kalamazoo, MI
  • NPI 1528618725

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1275492191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8778 LONG LAKE DR E",
            "city": "SCOTTS",
            "state": "MI",
            "postal_code": "490888719",
            "telephone_number": "269-370-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8778 LONG LAKE DR E",
            "city": "SCOTTS",
            "state": "MI",
            "postal_code": "490888719",
            "telephone_number": "269-370-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY FOUNTAIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "269-370-9074",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Win Aldworth
• Frances Ruth Howard
• Michaela Oesterle
• Amy Marie Read, AGACNP
• Marian Thomas, CAREGIVER
• Peggie Withers

• Clinical Social Worker in Scotts, MI
• Providers in Scotts, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.